| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,223 |
1,936 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
952 |
855 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
857 |
785 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
283 |
265 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
623 |
568 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
212 |
207 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
179 |
171 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,016 |
953 |
$11K |
| 90686 |
|
376 |
339 |
$6K |
| 99173 |
|
1,037 |
932 |
$4K |
| 90648 |
|
201 |
193 |
$4K |
| D1206 |
Topical application of fluoride varnish |
153 |
149 |
$4K |
| 92551 |
|
844 |
761 |
$4K |
| 90671 |
|
111 |
109 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
36 |
$3K |
| 90723 |
|
101 |
99 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
105 |
99 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
90 |
$2K |
| 90670 |
|
43 |
41 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
15 |
$1K |
| 96127 |
|
352 |
311 |
$1K |
| 96160 |
|
799 |
705 |
$1K |
| 90677 |
|
28 |
28 |
$1K |
| 90656 |
|
30 |
30 |
$593.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
32 |
$434.00 |
| 90680 |
|
12 |
12 |
$387.90 |
| 96161 |
|
107 |
104 |
$290.58 |
| 90633 |
|
13 |
13 |
$257.27 |
| 85018 |
|
56 |
53 |
$23.34 |
| 36416 |
|
76 |
74 |
$2.30 |
| 94760 |
|
30 |
24 |
$0.00 |
| 99401 |
|
35 |
18 |
$0.00 |